Severe paroxysmal night toothaches

Causes of acute dental pain

The following are the root causes of acute toothache:

1. Caries. Exacerbation of dentalgia causes food to get into the inflamed area. The sensations are characterized as aching, wave-like.
2. Periodontitis (inflammation of the gums) . Manifested by throbbing pain. The patient observes tooth instability, which is associated with the looseness of the inflamed gum tissue.
3. Violation of the integrity of the enamel . The condition causes mechanical damage to the jaw (teeth), long-term lack of treatment for caries. Several hours may pass from the moment the defect appears to the first pain.
4. Pulpitis. It manifests itself as intense pain that does not respond to the analgesics taken. The wave-like nature of the unpleasant sensation is explained by the transition of caries to the pulp, which is supplied with a large number of nerve fibers. The pain covers the ear, adjacent teeth, and spreads to the temple.
5. Periodontitis. The pathology is caused by mechanical damage to the tooth and is characterized by an inflammatory process of the periosteum ligaments. These structures help hold the tooth inside the socket. Manifests itself with sudden, sharp pain. Against the background of infection, a cystic neoplasm or granuloma forms inside the periosteum.

Each of these conditions needs to be treated. If the patient does not want to see a doctor, the risk of complications increases. These include: osteomyelitis (destruction of bone tissue), abscess, phlegmon (pathologies mean massive suppuration of the gums and tooth sockets).

Possible reasons

Painful sensations in the pulp are always associated with infection. Its penetration into the body is determined by three factors - physical, chemical or biological. Physical factors include overheating of tissues, traumatic fracture of the dental crown, and pathological abrasion of teeth. Pulp stones (dentin formations) can also cause severe paroxysmal pain. They put pressure on blood vessels, which disrupts microcirculation, irritates nerve endings and provokes the development of edema.

Chemical or iatrogenic factors are always associated with unqualified actions of the dentist. Among them are violations of the rules for using etching gel (necessary for filling teeth), the use of low-quality/toxic filling materials, and strong antiseptics for treating cavities.

Biological factors include cases of infection entering simply into the pulp chamber (for example, during caries). The risk of tissue infection increases with a secondary caries process that develops under the filling. The infection can also enter through the dentinal tubules or the apical foramen (located at the top of the tooth).

Pain appears immediately after inflammation of the pulp. It is spontaneous, but can intensify after mechanical impact on the tooth. Attacks of pain last from 10 to 30 minutes and in some cases are not amenable to drug pain relief. What to do? Contact your dentist as soon as possible and undergo treatment.

Non-dental reasons

The doctor’s task when treating a patient with pain is to establish that it was dental problems that caused the deterioration in health. For this purpose, the specialist conducts differential diagnostics. The doctor compares and then excludes other diseases that manifest symptoms similar to dentalgia.

The specialist will have to make sure that there are no pathologies of the neurological, cardiovascular system, or ENT organs. These diseases include:

1. Neuralgia . The trigeminal nerve is present in the human body. The structure provides sensitivity to the face and oral cavity. With inflammatory damage to the trigeminal nerve, the patient experiences intense pain. Clinical manifestations are complemented by irritability, swelling of the cheeks, and lacrimation. Standard analgesics are practically ineffective, and when they reduce discomfort, the result does not last long. Inflammation of the trigeminal nerve is treated by a neurologist. An experienced dentist is able to immediately determine that the disease does not apply to his profile.
2. Migraine . The headache is characterized by unilateral localization. The patient's general well-being worsens from loud sounds and bright lights. The location of pain can migrate - cover the temporal, parietal region. Debilitating discomfort spreads to the orbit and frontal part. When the condition is left untreated for a long time, standard analgesics do not have the expected effect. Then the intensity increases, and the patient mistakenly perceives the headache as a toothache.
3. Otitis. Inflammation of the ear canal most often occurs in children, but also occurs among adults. Clinical manifestations of the disease are hearing loss, throbbing pain on one side of the head. An unpleasant sensation spreads to the lower jaw.
4. Violation of the functional ability of the heart (angina pectoris, myocardial infarction). Pain syndrome is predominant in this case. An unpleasant (burning, pulsating) sensation spreads to the left shoulder blade, shoulder, and lower jaw. If the heart rhythm is disturbed, the patient notes pain in the lower jaw. This becomes a reason to suspect problems with the condition of the teeth. In the process of performing diagnostics, the doctor focuses on the clinical picture and examination results. To determine the cause of dentalgia, a person seeking help will have to undergo several diagnostic procedures.

Toothache with sinusitis

When a patient presents with acute toothache, the doctor should rule out sinusitis – inflammation of the maxillary sinuses. Discomfort in the jaw is similar in both diseases. In case of sinusitis, the patient is concerned about:

• The presence of copious mucous discharge from the nose.
• The wavy nature of the pain, its localization in addition to the jaw - the forehead, with a transition to the area under the eyes.
• Increase in body temperature to high levels.
• Sore throat, irritation inside the throat, difficulty swallowing.
• Weakness, dizziness, apathy, dyspeptic disorders (nausea, vomiting, lack of appetite).

It is important that with sinusitis the deterioration of the condition develops against the background or after a cold. Treatment of the disease in question is carried out by an ENT doctor.

FAQ

1. Does it make sense to put a tablet on a tooth? No. Analgesics and NSAIDs in tablet form have a central and peripheral effect, reaching the site of application through the bloodstream.

2. What to do if you take a pill and the pain does not go away? How many tablets can I take? If the maximum permissible dose indicated in the instructions does not help, you should immediately consult a doctor.

3. What to do with acute toothache that appears at night? To relieve acute toothache at night, it is recommended to contact a 24-hour dental clinic. Of course, it will not be possible to carry out full treatment at night, but you will receive palliative care to relieve pain. In the absence of a 24-hour clinic, you need to take a minimum dose of pain medication, and be sure to consult a doctor in the morning.

4. What pills or folk remedies will cope with acute toothache faster? Non-steroidal anti-inflammatory tablets and analgesics will help quickly cope with toothache (Analgin, Tempalgin, Nise, Baralgin). Traditional methods can only act as an aid to combat pain, but according to reviews, rinsing with a solution of soda and salt helps the most.

Remember that pain medications do not eliminate the cause of acute pain.
They relieve the symptom. To eliminate the cause of the pain, a visit to the doctor and proper treatment are necessary. Contact our specialists! Moscow metro station Zvezdnaya, Danube Avenue, 23

General recommendations for pain relief

The following tips will help relieve tooth pain:

• Do not concentrate on feeling unwell, try to distract your thoughts from it.
• Make sure that the disturbing part of the mouth is not clogged with food fragments. In addition to putting pressure on the inflamed area, pieces of food create a favorable environment for the life of pathogenic microflora. It is advisable to use a toothpick.
• The horizontal position aggravates the condition due to increased blood flow to the jaw. For dental problems, it is better to minimize bed rest (with the exception of high body temperature).
• Limit contact of food with the inflamed area of ​​the mouth. When chewing food, try to use the healthy side.
• It is equally important to abandon the idea of ​​using heat sources. High temperatures relieve discomfort for a short time. Heat can aggravate the inflammatory process if it is accompanied by the formation of a purulent focus.

Prevention of dental diseases

From a very young age, everyone knows what needs to be done to prevent teeth from hurting:

• Regular oral hygiene. You need to brush your teeth thoroughly, morning and evening, using a good toothpaste and brush. During the day, after each meal, you should rinse your mouth thoroughly, ideally using dental floss.
• Visit the dentist twice a year for preventative care.
• Eliminate any foci of infection in the oral cavity in a timely manner and carry out sanitation in a timely manner.
• Do not neglect modern methods of protecting teeth - fluoridation, remineralization, fissure sealing.

In addition, dental health largely depends on what we eat - the diet should include as many fresh vegetables and fruits, fish, and lean meat as possible; Eliminate sugar and sweets as much as possible. Teeth should be protected from mechanical damage, and do not overuse whitening toothpastes.

Author: Elena Grunina Dentist-therapist, endodontist. Work experience more than 9 years. The information is for reference only. Before treatment, consultation with a doctor is necessary.

How to relieve acute toothache

There is a wide range of means and methods that can be used to get rid of or minimize tooth pain. All of them are divided into main and auxiliary methods and are related to official or folk medicine. Modern analgesics are aimed at eliminating pain of various types, localization, and degrees of intensity. An insufficiently pronounced analgesic effect provides:

• Nurofen . Contains Ibuprofen, a non-steroidal anti-inflammatory substance.
• Spasmalgon. The drug is made on the basis of Analgin. The drug is contraindicated for use in children under 6 years of age.
• Baralgin. Analgin produces an analgesic effect. Dosed use is acceptable even for dentalgia in children.
• Askofen . Relieves debilitating sensations due to the presence of powerful substances in the combination. They are represented by Paracetamol, Aspirin and Caffeine. Contraindicated in children under 15 years of age.
• Grippostad. The active ingredients of the drug are Paracetamol and vitamin C. Ascorbic acid prolongs the analgesic effect of the drug. The use of the drug requires a high level of care and caution.
• Actasulide. An effective medicine that provides relief from pain, but the patient’s age under 12 years is a limiting factor. Direct contraindications for use are the presence of stomach ulcers, duodenal ulcers, kidney failure, liver failure; impairment of the functional ability of the heart.
• Nise. Eliminates dentalgia in 5-7 minutes. The effect lasts for 6-8 hours, but the root cause of the unpleasant sensation is of decisive importance. Taking several tablets at once is neither practical nor safe. To achieve the desired effect, just take 1 Nise tablet with water.
• Ketorol. A powerful pain reliever, but you can take it no more than once every 3 hours. Before visiting the dentist, you should refrain from using Ketorol for at least 4-5 hours. Since the drug negatively affects the possibility and duration of anesthesia, it distorts clinical manifestations.
• Tempalgin . Eliminates low-intensity dentalgia. The permissible frequency of use is 4 times a day, 1 tablet. Before using any of the listed drugs, it is important to read the accompanying instructions.

The use of the medicine will not cause harm if the patient is not allergic to its active substances. In order to determine sensitivity to the drug, you should initially take ¼ of the tablet and monitor how you feel.

If after half an hour there is no dizziness, nausea, itchy skin, lacrimation, or shortness of breath, you can take the rest of the tablet. Then the expected analgesic effect occurs, and the patient knows for sure that the drug is safe for him.

Emergency help: what to do if your tooth hurts

Thus, if a tooth hurts, the only option is to take tablet analgesics, or try to relieve the pain with dental drops. And this is correct if you need, for example, to get through the night calmly, and the next day you are going to see a doctor.

Of course, there is another option - to suppress the pain with analgesics in the hope that everything will go away. It won't work. And below we will explain why. So what to do if your tooth hurts, and what is the best way to relieve the pain urgently. The answer to this question will differ depending on the cause of the pain, which may be due to -

• or with the development of pulpitis (nerve inflammation),
• or with periodontitis (inflammation at the apex of the tooth root).

What to do to prevent tooth pain due to pulpitis -

When the carious cavity becomes deep enough, and the nerve is separated from it only by a thin layer of healthy tooth tissue, the infection can already penetrate into the tooth cavity and cause inflammation of the nerve. This inflammation of the nerve is commonly called pulpitis.

How to understand that you have pulpitis - acute pulpitis is characterized by severe throbbing pain, which becomes even more severe at night. As a rule, pain is spontaneous, but in some cases it can be provoked by thermal irritants (cold and hot).

With pulpitis, patients often have great difficulty identifying the diseased tooth, because the pain may spread to other teeth. A very important diagnostic criterion for the development of pulpitis is that with pulpitis there is always no pain when biting on a tooth or tapping on it (these symptoms already indicate the development of periodontitis).

Emergency help - what to do if a tooth hurts due to pulpitis: such a tooth can be cured only by removing the inflamed nerve and subsequent filling of the root canals. But, if you need to delay your visit to the dentist a little, then you can relieve the pain at home -

• using strong analgesics (Fig. 1-2),
• using “dental drops” (Fig. 3),
• placing a cotton ball soaked in a solution of 2% Lidocaine (this anesthetic is sold in pharmacies without a prescription) into the carious cavity.

Remember that topical pain relievers (such as dental drops or lidocaine) will only be effective if you have a cavity where you can place a cotton ball soaked in these remedies. If you have a toothache, for example, under a filling, then only tablet analgesics can help you.

Important : what to do if your tooth hurts badly, and analgesics are practically impossible - it is best to urgently go to the dentist, even at night to a 24-hour dental clinic. No one will treat your tooth all night, they will only open your tooth cavity and put arsenic, or remove the nerve and put a special medicine in your tooth (all this will take about 15 minutes). And the rest of the treatment will be carried out at the next visit. But believe me, you will feel almost instant relief.

What to do if a tooth hurts due to periodontitis -

You can be sure that you have periodontitis if any of the following is related to your tooth -

• when biting on a tooth there is pain,
• Previously, a fistula could appear in the projection of this tooth on the gum (Fig. 4),
• swelling of the gums appeared in the projection of the diseased tooth (Fig. 5-6),
• there is swelling of the soft tissues of the face,
• The tooth had already been treated before, but they didn’t just put a filling in it, but they filled the root canals.

With periodontitis, inflammation occurs outside the tooth and consists of the development of a purulent process at the apex of the tooth roots, which over time can lead to both tooth loss and the formation of cysts or granulomas at the apex of the roots.

What to do - only a dentist can cure this tooth disease. If the tooth has not been previously treated, then the nerve must be removed and the root canals filled (24stoma.ru). If the canals were previously sealed poorly (an x-ray will show this), then they need to be unsealed, the inflammation treated and then sealed again. A visit to the dentist is urgent, because... At any moment, with this pathology, the gums may swell or a purulent gumboil may form on half the face.

Emergency help - what to do if a tooth hurts very badly due to periodontitis and you urgently need something to numb the pain - here only tablet analgesics such as ibuprofen, ketoprofen or ketorolac can help you (Fig. 1-2). Any anesthetic drops, rinses, etc. will not be effective, because... the inflammation is localized too deep in the gum.

Acute pain during periodontitis always indicates the formation of a purulent abscess in the area of ​​the apex of the roots of this tooth. If the pain is catastrophic and cannot be tolerated, then it is best to go to a 24-hour dentistry. On your first visit, they will only open the tooth cavity and allow the pus to drain out through the root canals. All this will only take 15 minutes.

For those who are far from the doctor (in the north, in the tundra, in the countryside): we can only sympathize with you. Of course, you can start taking antibiotics and anti-inflammatory drugs, this will at least slow down the development of inflammation and reduce pain, but will not completely solve the problem. Even if we assume that the inflammation suddenly subsides, it can worsen again at any moment.

Additional recommendations for pain management

Ketorol, Pentalgin, Ketanov, Nimesulide have a high analgesic effect. Despite the guaranteed analgesic effect, these medications should not be taken by pregnant women and children. The active components of analgesics easily cross the placental barrier and can harm the fetus. As for children, a more careful, accurate calculation of the dosage of the drug is required. You will not be able to install it yourself.

Ultracaine injection eliminates dentalgia for 6 hours. But performing the injection yourself is contraindicated. At home, you can moisten a cotton swab with one of the indicated solutions (you must first carefully open the ampoule). Then apply the prepared tampon to the gum. The first signs of effectiveness are a decrease in the sensitivity of oral tissues.

The use of antibacterial drugs is contraindicated. These medications require schematic administration and are prescribed only taking into account the existing pathology.

Taking analgesics must be stopped before visiting a doctor (at least 3 hours before). The active ingredients in painkillers reduce sensitivity in the mouth. The patient cannot accurately explain to the doctor the location of the pain and its nature. This makes it difficult for a specialist to diagnose.

If the dentist confirms that the pain is caused by dental problems and excludes the presence of other pathologies, anesthesia will be required. A patient who has been taking analgesics for a long time to feel better, such an action reduces the possibility of performing it.

Traditional methods of relieving toothache

To eliminate pain before visiting a doctor and not make a mistake in choosing an analgesic, it is advisable to use traditional medicine methods. The following remedies are known to have beneficial effects in inflammatory and destructive processes of teeth:

• Sea salt. The substance is enriched with microelements, minerals, provides a bactericidal effect - destroys pathogens. It is both a therapeutic and prophylactic agent. Prevents the development of complications, prevents tooth loss, strengthens gums. Dissolve 1 tbsp. spoon of salt 250 ml of warm water, stir, avoiding sediment, rinse until dentalgia is eliminated.
• Baking soda. It is known for its antiseptic properties - it relieves inflammation, thereby eliminating tooth pain. To prepare a soda solution, use 1 teaspoon of powder per 1 tbsp. warm water. Rinse up to 5-6 times a day, then be sure to visit a doctor.
• Alcohol-based drops: peppermint, valerian, camphor solution. The healing properties are explained by the presence of essential oils in the composition. The main effects are the elimination of the pulsating phenomenon, the destruction of pathogenic microorganisms, and the normalization of blood supply. Use to prepare a compress. Fold a small piece of gauze several times, moisten it with a healing solution, and apply it to the diseased tooth.
• Chamomile decoction . Application allows you to get rid of the inflammatory process in the oral cavity, reduce or eliminate discomfort. To prepare the remedy, 2 tbsp. l. dry chamomile (sold at any pharmacy) pour 2 tbsp. boiling water Wait 10 minutes, strain, drink as tea (do not drink the drink at high temperatures). It is advisable to rinse the mouth with a warm chamomile decoction.
• Sage decoction has an anti-inflammatory and bactericidal effect. Due to the presence of alkaloids in the composition, it is an anesthetic. Used for rinsing the mouth.
• Clove oil has antiseptic and soothing properties. If dentalgia occurs, moisten a cotton swab with a small amount of this product. Apply to the problematic gum. An alternative way to use clove oil is to rub the area of ​​your mouth that is bothering you. In this case, an additional beneficial effect is gum massage. It helps improve blood circulation in their tissue.
• Echinacea infusion. It has antioxidant properties and increases the body's resistance at the local level. To prepare the drink, use 4 tbsp. l. dry raw materials per 2 tbsp. boiling water Wait 10-15 minutes. to activate all the beneficial properties of echinacea under the influence of high temperatures. Use the product for rinsing.
• Propolis . The beekeeping product has an antiseptic and anti-inflammatory effect. To achieve this, apply a piece of the product to the problem tooth.

Vodka is known for its anesthetic properties. To eliminate pulsating dentalgia, you need to rinse your gums with vodka, tilting your head to the side of the problem area.

• Garlic. Has intense antiseptic properties. It is enough to apply 1 clove of garlic to the inner surface of the wrist, then securely secure it with a bandage.
• Furacilin. The solution helps reduce swelling, reduce inflammation of the gums, and reduce the intensity of pain. These phenomena are explained by the property of furatsilin to destroy pathogenic microflora.
• Black radish juice . It has a wide range of healing effects - it functions as an antibiotic, strengthens the gums (when they become inflamed, they become loose). Provides protection to problem areas of the oral cavity.
• Ice Cube. Provides pain reduction. But it is characterized by a short-lived effect, aggravating the condition when the sensitivity of the enamel increases.

The listed remedies and recipes do not replace necessary treatment. Therefore, even after eliminating dentalgia, you should visit a dentist. The absence of an unpleasant sensation does not indicate normalization of the tooth’s condition. In addition, the pain syndrome may resume after a certain period of time.

Pregnancy pills

Pregnancy is the period when a woman should treat herself with the most care and carefully monitor her health - because the condition of her unborn baby directly depends on this. Therefore, even at the planning stage of pregnancy or at its earliest stages, it is necessary to solve all existing problems in the oral cavity. If for some reason this was not possible, you should prepare for the fact that coping with the resulting toothache will be very problematic:

• During pregnancy, and especially in the first and third trimester, it is prohibited to take any highly effective painkillers (it has been scientifically proven that active substances can penetrate the placenta, causing harm to the unformed body of the unborn baby).
• Hormonal changes that invariably accompany the process of bearing a child can lead to the most unexpected consequences - from unexpected destruction of enamel and gum disease to the manifestation of complete immunity to medications.

That is why, among the drugs approved for pregnant women, doctors name only Paracetamol, Nurofen (in the 1st and 2nd trimester), Analgin (in the 2nd trimester), Airtal (in the 1st and 2nd trimester). All of the above drugs can be used in moderation - 1 tablet per day for no more than 5 days in a row.

Severe toothache in pregnant women is best relieved with safe folk remedies (gargle, ice, garlic).

All of the above also applies to the lactation period. At this time, it is advisable to reduce the intake of any medications to zero, since after absorption into the blood they enter the body of the newborn.

Do not ignore preventive visits to the dentist.

It is enough to visit a specialist 1 – 2 times a year, which will allow you to promptly identify any dental problem at an early stage of development. This means that its elimination will be quick, easy and without complications.

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Unconventional ways to relieve pain

It will be possible to enhance the analgesic effect of drugs and alternative remedies through Japanese massage. Dentalgia will decrease or be eliminated if you do the following:

1. Massage vigorously the space between the nose and upper lip.
2. First, apply a little pressure on the earlobe, then run your fingers along the edge of the ear. Repeat several times.
3. Using light movements, massage the carotid artery located on the side of the problematic tooth.

To reduce dentalgia, regular chewing helps - use mint leaves, plantain leaves, and a piece of peeled ginger.

Children and pregnant women

During pregnancy and childhood, dentalgia occurs no less frequently than in representatives of other social groups. Considering the characteristics of both cases, the selection of an analgesic presents certain difficulties. The active components of painkillers are absorbed into the blood of the fetus - they can harm it, cause developmental defects, and fading.

The first dental problems are caused by the growth of teeth. The phenomenon is observed at the age of 4-6 months. For a child, the physiological process during which bone tissue cuts through the gums causes pain and stress. Then it is advisable to apply applications of gels or medicinal pastes to problem areas. They will reduce pain, relieve swelling, inflammation - the child will be able to calm down, fall asleep, and his appetite will normalize.

Acute pain in children occurs in response to a food particle entering the cavity of a carious tooth. A pulsating sensation occurs, which is often confused with inflammation of the ear. Dentalgia is also caused by food getting into a healthy tooth - the foreign body compresses and irritates the enamel. Feeling better is facilitated by the evacuation of the trapped substance - this is easier to achieve by rinsing the mouth. It is advisable to use a baking soda solution.

Dentalgia in pregnant women is treated with gels intended for children - so as not to harm the developing child in utero. They do not contain harmful components and are safe for the fetus. Particular care should be taken during pregnancy in the 1st and 3rd trimesters.

To normalize the well-being of children and expectant mothers, the following remedies are suitable:

• Clove oil.
• Liniment “Star” (the drug needs to be lubricated on the problematic gum).
• Herbal remedies – chamomile, calendula, sage. Use as a decoction for rinsing the mouth.
• It is permissible for children to take Nurofen (the manufacturer indicated the permissible dosage in the instructions).
• Rinse with a solution of baking soda and sea salt.

After you feel better from taking the above remedies, you should rush to the dentist to receive qualified medical care.

Toothache during pregnancy: what to do

So, what can you do to relieve pain if your tooth hurts during pregnancy... Remember that even approved medications should be taken by pregnant women only after consulting a doctor.

• Nurofen 200 mg or 400 mg (Fig. 7-8) - it can only be used in the 1-2 trimesters, but not in the 3rd trimester. Nurofen is available in dosages of 200 and 400 mg. Pregnant women can use both dosages. But we recommend that if the pain is not very severe, use a dosage of 200 mg (no more than 4 tablets per day). If the pain is very severe, then the dosage is 400 mg, but not more than 3 tablets per day.

• Paracetamol 500 mg - can be used throughout pregnancy, preferably only after consulting a doctor. No more than 2 tablets per day.

Important: you must understand that analgesics are only a temporary solution to the problem. If you have a toothache, you will still need to see a doctor. There are periods of dental treatment for pregnant women, during which dental treatment is quite safe for both the mother and the unborn child.

Acute toothache at night

A toothache that occurs at night can cause a person to wake up. Especially if it is caused by pulpitis, caries - if they are present, the unpleasant sensation is difficult to eliminate with analgesics. It is also not uncommon for dentalgia to worsen in the evening and to bother you throughout the night. It is exhausting, causes weakness, irritability, since the fact of discomfort is complemented by a lack of rest.

Independent elimination of dentalgia (without the use of drugs) is a rare case. Most often, this phenomenon is observed precisely during nighttime dental pain. The inflammatory process is regulated by the adrenal cortex. The hormones it produces stop the intensity of the pathology. The reason why improvement in well-being occurs closer to the morning is that in the evening the adrenal glands slow down their activity.

Main causes of pain

There can be many reasons why a tooth hurts, but the most obvious of them are the following:

• Caries
  . Even almost imperceptible damage to tooth enamel can lead to periodic, barely noticeable pain. If you do not see a doctor in time, the hole will grow, and with it the pain will intensify. After caries reaches its final stage, painful sensations will appear when eating, when cold air enters the oral cavity, etc.
• Pulpitis
  . Damage to the pulp, which contains numerous nerve endings, invariably leads to regular throbbing pain.
• Periodontal diseases
  . Damage to the soft and bone periodontal tissues leads to severe inflammation and unbearable pain.
• Removal of a tooth
  . Despite the fact that the operation is performed under local anesthesia, after the anesthetic wears off, the place where the tooth used to be will be very painful.
• Eruption of wisdom teeth
  . If they grow evenly, then the person feels only discomfort, which is easily relieved with the simplest painkillers. If not everything goes smoothly with teething (the tooth grows crookedly, rests on the root of the neighboring tooth), then special medications will be required to relieve pain.

Obviously, none of the above problems can be solved by taking pills - only a highly qualified specialist can eliminate the source of pain. The pill is just a way to relieve pain for a short time.

If the toothache occurs outside of the home

Acute dentalgia develops regardless of the location of the person. It is especially difficult if the phenomenon occurs while he is at work. The only correct tactic is to ask management and visit a doctor. If for various reasons it is impossible to leave the workplace, you should immediately take a painkiller. Ketanov, Dolaren are characterized by a long-lasting analgesic effect. 1 tablet is enough to eliminate dentalgia for 5-6 hours. By then the workday will be over and you can visit the dentist. Additionally, you should rinse your mouth with soda or saline solution.

If toothache bothers you on vacation

If dental problems begin to bother you long before your vacation, it is better to stop them first and then go on vacation. It is possible that the specialist will determine the possibility of delayed treatment - upon the patient’s return.

On the eve of the trip, it is important to carefully read the information in the contract concluded with the insurance company. It prescribes the type of assistance that you can count on when the need arises.

Some insurance firms use compensation practices. The costs that the patient incurred while abroad are returned to him upon arrival home. But subject to the presence of a receipt for payment.

In order not to overshadow your vacation with unnecessary troubles with finding a dentist abroad, it is advisable to get a temporary filling from your dentist. Then, upon return, you can begin full treatment.

Toothache is a clear sign of poor health. Only a doctor can determine whether the dental or other area is suffering. He relies on professional experience and examination results to make a diagnosis. The patient cannot solve his problem on his own - he should consult a specialist and receive competent treatment.

Let's go through the list

This material is not an advertisement for any products, so we will list the most suitable solutions in tablets for toothache in alphabetical order:

• Analgin.
• Ibuklin.
• Ketanov.
• Ketorol.
• Moment.
• Nise.
• Nimesil.
• Nurofen (ibuprofen and drugs identical to this group).
• Sanaprox.
• Tempalgin.

Ketanov is considered one of the most suitable options when asking what you can drink for toothache. It has a sufficient speed of impact, that is, fast, and at the same time effective. In some cases, such tablets help relieve even severe pain. But you should remember about the frequency of administration and dosages.

Nurofen not only helps relieve pain, but also has an anti-inflammatory and antipyretic effect on the entire body. You should be aware that some of the modifications of these toothache tablets contain a potent substance in the form of codeine. We are talking about variations of Nurofen Plus and Nurofen Plus N. It will also enhance the analgesic effect. The classic version can be used to relieve toothache in both adults and children.

A simple option with classic toothache tablets in the form of Analgin is also popular in the fight against this disease. The main substance here is sodium metamizole, which, due to its acidic structure, has a negative effect on enamel. For this reason, if there is damage in the latter, the area of ​​​​carious lesions may increase. But if the filling falls out or is chipped, it will be effective.